Trevor John Dominic Chen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103971 Issued in CA

Practice address

9117 Trumbauer Way
Elk Grove, CA 95758-7434

Phone

(951) 476-4300

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trevor Chen DDS Inc.

  • Dental Clinic/Center
  • Folsom, CA
  • NPI 1770384364
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1285286203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 TRUMBAUER WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 TRUMBAUER WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587434",
            "telephone_number": "951-476-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TREVOR",
        "middle_name": "JOHN DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mylene Chen
• Kelvin Chen
• Kwong Ah Chen, LAC
• Shuyaa Chen
• Stephanie Chen
• Alyssa Cheney
• Diana Chernioglo
• Tiffani Chesnut
• Andrew Cheung, PHARM. D.
• Andrew Man Kwong Cheung, PHARM.D

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.